Rehab Admission Coordinator
Methodist Health System Omaha, NE
Purpose of Job
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
Explosives (pressurized gas)
Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
Chemical agents (Toxic, Corrosive, Flammable, Latex)
Mechanical moving parts/vibrations
Essential Job Functions
Essential Functions I
Promptly and accurately evaluates and determines patients eligibility for admission to the rehab unit.
Evaluations are completed within same day as referral or next business day.
Collects and documents pre-admission screening data.
Uses clinical judgement and available clinical data to determine eligibility for rehabilitation admission.
Consults with Rehabilitation Center Medical Director for approval of all admissions.
Flexes work schedule to accommodate referrals, evaluations, and daily admissions.
Performs the Pre-authorization utilization review functions to obtain insurance company approval for admission.
Performs admission reviews for medical necessity on all cases utilizing admission criteria.
Provides timely medical information to payers and receives needed approvals.
Refers cases immediately to Medical Director for review when criteria are not met and/or payer has concerns about approving admission.
Clarifies certification requirements, benefit limitations, and re-certifications requirements which are communicated to the rehabilitation care manager.
Develops effective working relationships with payer contacts.
Works with NMHS Business Office on self-pay, charity care, or special reimbursement situations.
Negotiates levels of care with commercial payers for skilled/sub-acute, after case review with Medical Director and business office.
Advocates for the patient/family with insurance payers to obtain approval for acute rehabilitation and/or by educating those not eligible for acute rehab about other levels of care.
Coordinates all aspects of admission to the rehabilitation unit, including providing appropriate patient information, appropriate room assignment, and timely admissions.
Coordinates all aspects of the admission process to acute rehabilitation with the referral source and the Acute Rehabilitation Unit.
Coordinates communication of planned admissions multiple clinical disciplines involved in the rehabilitation healthcare team.
Ensures staff is aware of any circumstances or patient/family needs or requests that may affect the length of rehabilitation or approach to the patient or family.
Thoroughly completes all admission paperwork, i.e., admission assessment, International Religious Freedom (IRF)/Patient Assessment Instrument (PAI), and insurance verification.
Develops and maintains an effective daily communication plan with Rehab physician(s).
Communicates to team members a clinical picture of the patient at admission and the patients goals for rehabilitation.
Communicates to nursing and rehab staff information such as patient's condition, special needs, room assignments, family dynamics, and payer expectations.
Communicates effectively with nursing and other team members to plan for and facilitate admissions and unit throughput.
Establishes effective relationships with patient/family to set reasonable goals and expectations for acute rehabilitation, and to facilitate a safe and satisfactory transition from acute care to acute rehabilitation.
Gives succinct, pertinent case presentations for review of complex cases to the Rehabilitation physician.
Patient/Family Centered Service
Begins the patient's orientation to the rehab center by discussing the purpose, philosophy, daily activities, and expectations of the rehab unit with the patient and/or family members.
Provides unit tours to prospective patients and family members.
Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission.
Communicates effectively to solve problems at the personal and unit level.
Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
Maintains a professional appearance, behavior, and work environment.
Maintains competence in area of experience.
Prevents denials of payment by ensuring all admission information is accurate and insurance approvals are obtained and documented.
Maintains monthly statistics of referral and evaluation outcomes.
Assists in annual analysis of referral/evaluation, and admission data.
Promotes and markets the rehabilitation unit to internal and external audiences.
Conducts site visits, phone communication, and promotional activities with referral sources.
Monitors and evaluates referral and admission patterns to identify trends and opportunities for new marketing contacts.
Maintains excellent relationships with referral sources through strong interpersonal skills, responsiveness to referrals, and efficient coordination of admissions.
Engages in active case-finding and promotion of the rehab unit.
Collaborates with care managers, therapists, and social workers to identify potential candidates for admission.
Offers appropriate alternative suggestions for placement of patients not eligible for admission to the rehab center.
Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.
Promotes personal professional growth.
Essential Functions II
Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.
| Date Posted
September 14, 2017
| Date Closes
November 13, 2017
| Located In
| Work At
NE Methodist Hospital
7a-4p, 16 hours per week
| SOC Category
This job is related other jobs in these career categories